Science Medicine Nursing
MED Surge NCLEX questions exam 1 with question
and answer 100% correct
1. A
client who had a laminectomy reports A, B, E
new onset of severe back pain. What
responses by the nurse are most
appropriate for the client at this time? Select
all that apply.
a."How was our pain on a 0-10 scale with 10
being the worst possible pain you've had?"
b. "Could you describe the pain in your
back?"
c. When you had visitors, you seemed to be
laughing and not in any pain."
d. "I'll get you some pain medication that the
surgeon ordered."
e. "Can you tell me what positions make
the pain feel worse and better?"
, 2. An older client who has advanced B. Use a behavioral
pain assessment tool to determine the Alzheimers disease is admitted to the presence of pain
clinical unit after abdominal surgery and is
guarding her abdomen and moaning. What
action will the nurse take?
a.Ask the clients family to rate the
intensity of the clients pain using 0-10
scale
b. Use a behavioral pain assessment tool
to determine the presence of pain
c.Ask the client to rate the intensity of
her pain using the 0-10 scale
d. Contact primary health care provider to
request an order for an antianxiety
drug
3.An older client takes acetaminophen c. "Avoid any over the counter medications that may contain
(Tylenol) 2000mg daily for osteoarthritis. acetaminophen"
What health teaching will the nurse provide
for the client related to this medication
a."Be sure and take your medication
with food to prevent stomach ulcers"
b. "Take your medication only when
you need it for chronic pain"
c. "Avoid any over the counter
medications that may contain
acetaminophen"
d. "Take your blood pressure often because
acetaminophen can cause it to go up"
4. A client has one time order for morphine 0.4 ML
2 mg IV push. The drug is available as
5mg/ml. The nurse administers ? mL of
morphine for one dose.
5.A nursing technician reports that a b. Promptly call the primary health care provider to request
an postoperative client who is receiving IV PCA order to reduce opioid dose
morphine is very drowsy, unable to
complete a sentence without falling asleep,
and has a respiratory rate of 12 breaths per
minute. What is the nurses first action at this
time?
a.Arouse the client and raise the head of
bed to a 90 degree angle
b. Promptly call the primary health
care provider to request an order to
reduce opioid dose
c.Take away the clients PCA button and
tell the family to notify staff when pain
returns
d. Reduce environmental stimuli by
darkening the room so that the client
can sleep
MED Surge NCLEX questions exam 1 with question
and answer 100% correct
1. A
client who had a laminectomy reports A, B, E
new onset of severe back pain. What
responses by the nurse are most
appropriate for the client at this time? Select
all that apply.
a."How was our pain on a 0-10 scale with 10
being the worst possible pain you've had?"
b. "Could you describe the pain in your
back?"
c. When you had visitors, you seemed to be
laughing and not in any pain."
d. "I'll get you some pain medication that the
surgeon ordered."
e. "Can you tell me what positions make
the pain feel worse and better?"
, 2. An older client who has advanced B. Use a behavioral
pain assessment tool to determine the Alzheimers disease is admitted to the presence of pain
clinical unit after abdominal surgery and is
guarding her abdomen and moaning. What
action will the nurse take?
a.Ask the clients family to rate the
intensity of the clients pain using 0-10
scale
b. Use a behavioral pain assessment tool
to determine the presence of pain
c.Ask the client to rate the intensity of
her pain using the 0-10 scale
d. Contact primary health care provider to
request an order for an antianxiety
drug
3.An older client takes acetaminophen c. "Avoid any over the counter medications that may contain
(Tylenol) 2000mg daily for osteoarthritis. acetaminophen"
What health teaching will the nurse provide
for the client related to this medication
a."Be sure and take your medication
with food to prevent stomach ulcers"
b. "Take your medication only when
you need it for chronic pain"
c. "Avoid any over the counter
medications that may contain
acetaminophen"
d. "Take your blood pressure often because
acetaminophen can cause it to go up"
4. A client has one time order for morphine 0.4 ML
2 mg IV push. The drug is available as
5mg/ml. The nurse administers ? mL of
morphine for one dose.
5.A nursing technician reports that a b. Promptly call the primary health care provider to request
an postoperative client who is receiving IV PCA order to reduce opioid dose
morphine is very drowsy, unable to
complete a sentence without falling asleep,
and has a respiratory rate of 12 breaths per
minute. What is the nurses first action at this
time?
a.Arouse the client and raise the head of
bed to a 90 degree angle
b. Promptly call the primary health
care provider to request an order to
reduce opioid dose
c.Take away the clients PCA button and
tell the family to notify staff when pain
returns
d. Reduce environmental stimuli by
darkening the room so that the client
can sleep
